MercyOne Genesis Davenport West Medical Center
1404 West Central Park Avenue, Davenport, IA · MercyOne · · NPI 1427097716
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Partial removal of ulna CPT 25240 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Partial removal of vaginal wall 57106 CPT 57106 | $892.20 | $1,487.00 | not published | 0 |
| Partial removal tear gland CPT 68505 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Partial thyroid excision CPT 60210 | $1,292.40 | $2,154.00 | not published | 0 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | $1,847.40 | $3,079.00 | not published | 0 |
| Part removal of metatarsal CPT 28110 | $835.80 | $1,393.00 | not published | 0 |
| Part removal of metatarsal CPT 28113 | $1,077.00 | $1,795.00 | not published | 0 |
| Part removal of metatarsal 28112 CPT 28112 | $889.80 | $1,483.00 | not published | 0 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $164.03 – $229.64 | 2 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $164.03 – $229.64 | 2 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $51.14 – $71.60 | 2 |
| Pathogen reduced plasma pool HCPCS P9070 | not published | not published | $53.71 – $75.19 | 2 |
| Pathogen reduced plasma sing HCPCS P9071 | not published | not published | $280.02 – $392.02 | 2 |
| Patient recorded spirometry CPT 94014 | not published | not published | $381.97 – $534.76 | 2 |
| Patient recorded spirometry CPT 94015 | not published | not published | $298.08 – $417.31 | 2 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $255.05 – $255.05 | 1 |
| Pdgfra gene CPT 81314 | not published | not published | $329.51 – $329.51 | 1 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $27.60 | $46.00 | not published | 0 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $190.20 – $266.28 | 2 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Ped crit care age 2-5 init CPT 99475 | $1,076.40 | $1,794.00 | not published | 0 |
| Ped crit care age 2-5 subsq CPT 99476 | $653.40 | $1,089.00 | not published | 0 |
| Ped crit care transport CPT 99466 | $500.40 | $834.00 | not published | 0 |
| Ped crit care transport addl CPT 99467 | $234.60 | $391.00 | not published | 0 |
| Ped critical care initial CPT 99471 | $1,526.40 | $2,544.00 | not published | 0 |
| Ped critical care subsq CPT 99472 | $772.80 | $1,288.00 | not published | 0 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $149.77 – $209.67 | 2 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $149.77 – $209.67 | 2 |
| Pedicle enel/ntroral 15576 CPT 15576 | $1,471.80 | $2,453.00 | not published | 0 |
| Pegaspargase injection HCPCS J9266 | $43,120.76 | $71,867.93 | $28,424.06 – $39,793.68 | 2 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $11,379.97 | $18,966.61 | $58.40 – $81.76 | 2 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $132.04 – $184.86 | 2 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $7,407.18 | $12,345.30 | $136.04 – $190.46 | 2 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $229.11 – $320.75 | 2 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $7,407.18 | $12,345.30 | $103.71 – $145.19 | 2 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $149.21 – $208.89 | 2 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,638.86 – $5,094.40 | 2 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $230.28 – $322.39 | 2 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,393.20 | $2,322.00 | $170.40 – $238.57 | 2 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,276.20 | $2,127.00 | $170.40 – $238.57 | 2 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,041.60 | $1,736.00 | $101.79 – $142.51 | 2 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,395.20 | $3,992.00 | $341.85 – $478.59 | 2 |
| Pelvic MRI (with contrast) CPT 72196 | $1,594.20 | $2,657.00 | $341.85 – $478.59 | 2 |
| Pelvic MRI (without contrast) CPT 72195 | $1,443.60 | $2,406.00 | $231.38 – $323.93 | 2 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Pelvic Ultrasound (complete) CPT 76856 | $390.60 | $651.00 | $101.79 – $142.51 | 2 |
| Pelvic Ultrasound (limited) CPT 76857 | $195.60 | $326.00 | $101.79 – $142.51 | 2 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $161.40 | $269.00 | $101.79 – $142.51 | 2 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $222.00 | $370.00 | $101.79 – $142.51 | 2 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $9,873.09 | $16,455.15 | $58.56 – $81.98 | 2 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $7,202.36 | $12,003.94 | $3.73 – $5.22 | 2 |
| Pemivibart infusion HCPCS M0224 | not published | not published | $431.23 – $603.72 | 2 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $17.37 – $24.32 | 2 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $927.25 | $1,545.42 | $29.30 – $41.02 | 2 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $119.73 | $199.55 | not published | 0 |
| Penicillin g procaine inj HCPCS J2510 | $149.24 | $248.74 | $47.19 – $66.07 | 2 |
| Penile injection CPT 54235 | not published | not published | $232.81 – $325.93 | 2 |
| Penile vascular study CPT 93980 | not published | not published | $101.79 – $142.51 | 2 |
| Penile vascular study CPT 93981 | not published | not published | $101.79 – $142.51 | 2 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Penis plastic surgery CPT 54360 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Penis study CPT 54240 | $99.00 | $165.00 | $107.25 – $298.08 | 2 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,543.89 – $3,561.45 | 2 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $17,188.53 – $24,063.94 | 2 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $10,855.42 – $15,197.59 | 2 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $17,188.53 – $24,063.94 | 2 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $10,855.42 – $15,197.59 | 2 |
| Perc rf ablate renal tumor CPT 50592 | $5,915.40 | $9,859.00 | not published | 0 |
| Percut ablate liver rf CPT 47382 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $203.50 | $339.16 | not published | 0 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $543.00 | $905.00 | not published | 0 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | $4,458.00 | $7,430.00 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,800.00 | $3,000.00 | $1,486.98 – $1,950.00 | 2 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $1,807.80 | $3,013.00 | not published | 0 |
| Peri-implt capslc brst compl CPT 19371 | $1,443.00 | $2,405.00 | not published | 0 |
| Perineoplasty rpr per nonob CPT 56810 | $482.40 | $804.00 | not published | 0 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $56.86 – $79.60 | 2 |
| Peritoneal cath sub q resv per CPT 49419 | $804.00 | $1,340.00 | not published | 0 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $524.84 – $734.78 | 2 |
| Perit-vens shunt pat tst CPT 78291 | $636.60 | $1,061.00 | $384.64 – $538.50 | 2 |
| Perq clsr tcat l atr apndge CPT 33340 | $11,100.00 | $18,500.00 | not published | 0 |
| Perq dev breast 1st mr guide CPT 19287 | $4,032.00 | $6,720.00 | $673.49 – $942.89 | 2 |
| Perq dev breast 1st strtctc CPT 19283 | $3,240.00 | $5,400.00 | $673.49 – $942.89 | 2 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $8,851.56 – $12,392.18 | 2 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $8,851.56 – $12,392.18 | 2 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $10,855.42 – $15,197.59 | 2 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $17,188.53 – $24,063.94 | 2 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $10,855.42 – $15,197.59 | 2 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $10,855.42 – $15,197.59 | 2 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $154.20 | $257.00 | not published | 0 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | $202.80 | $338.00 | not published | 0 |
| Perq transcath closure pda CPT 93582 | not published | not published | $17,188.53 – $24,063.94 | 2 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $17,188.53 – $24,063.94 | 2 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $17,188.53 – $24,063.94 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.